Organization
MODERN PHARMACY INCORPORATED
Active
Other names
Modern Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAGATA NATH (OWNER)
(718) 282-7660
Entity
Organization
Contact information
Practice address
9502 VAN WYCK EXPY, SOUTH RICHMOND HILL, NY 11419-1638
(888) 585-6874
Mailing address
9502 VAN WYCK EXPY, SOUTH RICHMOND HILL, NY 11419-1638
(888) 585-6874
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/13/2025
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